Thought Leadership

MHP Briefing – Next Steps on the NHS Five Year Forward View


NHS England has today (Friday 31 March) published its Next Steps on the NHS Five Year Forward View, which sets out the NHS’ main national service improvement priorities. While the Five Year Forward View (FYFV), published in Autumn 2014, set out why improvements were needed on the triple aim of better health, better care and better value, today’s document focuses on what is still left to be achieved in the next two years and how the FYFV’s goals will be reached.

The document claims ‘significant progress’ has been made since the publication of the FYFV and that the NHS has a ‘viable and agreed’ strategic direction. Despite this, there is a recognition that current demands on the NHS are higher than envisaged at the time of the FYFV’s publication. Based on this, and with 2016/17 representing the first year of the NHS’ five year Spending Review (SR) funding settlement, it is suggested that now is an appropriate time for review and revised action.

Within ‘the constraints of the requirement to deliver financial balance across the NHS’, the document outlines its priority areas as those which matter most to the public, including:

  • Improving A&E performance
  • Strengthening access to high quality GP services and primary care
  • Improvements in cancer services and mental health

In order to deliver these goals, the plan states it will work to accelerate service redesign locally and focus on the goals’ ‘enablers’, namely the workforce, safer care, technology and innovation.

Of interest, the document seeks to encourage Sustainability and Transformation Plan (STP) areas to “come forward” to become Accountable Care Systems – identifying that nine such areas were already candidates for such status. This move, which if implemented could end the purchaser-provider split in those footprints, requires STP areas to satisfy a number of criteria around governance and organizational capabilities.

Click below to read MHP’s detailed briefing:

Download MHP briefing - Next Steps on the NHS Five Year Forward View